Yes, I want to be a Life Changer!
 
  $25 - $99 Friends
 
  $500 - $999 Associates
 
  $5000 & Over Benefactors
 
  $100 - $499 Patrons   $1000 - $4999 Sponsors   Other

Tell us how to get in touch with you:
 
Name:
 
 
Address:
 
 
City:
 
 
State:
 
Zip:
 

 
Phone:
 
 
Fax:
 
 
E-mail:
 
 
Please contact me regarding this matter.
 
 

Mail form to:

LEAP · Life Enhancement Association for People
P.O. Box 7452
Dallas, TX 75209-0452